一项系统性审查和网络元分析,比较了老年轻度认知障碍患者的各种非药物治疗方法
Yuan-Yuan Wang1, Xiao-Xian Wang1, Lei Chen1
1School of Public Health and Health Management, Anhui Medical College, Hefei City, Anhui Province 230061, China.
Asian journal of psychiatry
|June 4, 2023
概括
运动 (PE) 是最有效的非药物疗法,用于改善轻度认知障碍 (MCI) 患者的认知能力. 这种疗法在患有MCI的成年人中显示出减缓认知衰退的最大潜力.
科学领域:
- 神经学 神经学
- 老年学是一门学科.
- 认知科学 认知科学
背景情况:
- 轻度认知障碍 (MCI) 影响成人的认知能力.
- 目前正在探索非药物疗法来管理MCI症状.
- 系统审查表明这些干预措施的潜在好处.
研究的目的:
- 评估各种非药物治疗对MCI患者认知功能的影响.
- 确定最有效的干预措施,以改善MCI患者的认知.
主要方法:
- 进行了网络元分析.
- 搜索了六个数据库,寻找有关物理炼 (PE),认知训练 (CT) 等疗法的相关研究.
- 包括39个随机对照试验,共有3157名参与者.
主要成果:
- 身体炼 (PE) 被确定为最有效的干预措施,显著减缓认知能力下降 (SMD = 1.34).
- 认知刺激 (CS) 和认知康复 (CR) 对认知能力没有显著影响.
- 该分析比较了七种非药物治疗:PE,多学科干预 (MI),音乐治疗 (MT),CT,CS,CR和艺术治疗 (AT).
结论:
- 非药物治疗可以显著提高MCI的成年人的认知功能.
- 身体炼 (PE) 成为MCI认知改善最有前途的疗法.
- 建议进一步进行高质量的多中心随机对照试验,以证实这些发现,因为研究的局限性.
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